Active NPI
Aaron S Metrikin, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1861563124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 205496
- Practice address
- 115 Central Park W
Suite 12
New York, NY 10023-4198 - Phone
- (212) 988-6230
- Fax
- (212) 721-1867
- NPI assigned
- Nov 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 205496 | NY | Primary |
Addresses
Primary practice location
115 Central Park W
Suite 12
New York, NY 10023-4198
Mailing address
115 Central Park W
Suite 12
New York, NY 10023-4198
Phone (212) 988-6230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01076219 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205496 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Park Lenox Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Psychologist
- New York, NY
- NPI 1205933215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367884800000",
"number": "1861563124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 CENTRAL PARK W",
"address_2": "SUITE 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234198",
"telephone_number": "212-988-6230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CENTRAL PARK W",
"address_2": "SUITE 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100234198",
"telephone_number": "212-988-6230",
"fax_number": "212-721-1867"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METRIKIN",
"first_name": "AARON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-10",
"last_updated": "2013-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "205496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01076219",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.